Waning immunity to SARS-CoV-2 following vaccination or infection

We use survival analysis to analyze the decay in the protection induced by eight SARS-CoV-2 vaccines using data from 33,418 fully anonymized patients from the IMSS public health system in Mexico, including only previously vaccinated, confirmed SARS-CoV-2 positive with a PCR test. We analyze the wani...

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Main Authors: Carlos Hernandez-Suarez, Efrèn Murillo-Zamora
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.972083/full
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author Carlos Hernandez-Suarez
Efrèn Murillo-Zamora
author_facet Carlos Hernandez-Suarez
Efrèn Murillo-Zamora
author_sort Carlos Hernandez-Suarez
collection DOAJ
description We use survival analysis to analyze the decay in the protection induced by eight SARS-CoV-2 vaccines using data from 33,418 fully anonymized patients from the IMSS public health system in Mexico, including only previously vaccinated, confirmed SARS-CoV-2 positive with a PCR test. We analyze the waning effect in those with complete vs. incomplete dose fitting a Weibull distribution. We compare these results with an estimate of the waning effect due to active infection. In two-dose vaccines, we found that the average protection time of a complete dose increases 2.6 times compared to that of an incomplete dose. All analyzed vaccines provided a protection that lasted longer than the protection due to active infection, except in those patients that did not fulfilled the complete dose. The average protection of a full dose is 2.2 times larger than that provided by active infection. The average protection of active infection is about the same as the average protection of an incomplete dose. All evaluated vaccines had lost most of their protective effect between 8 and 11 months of application of first shot. Our results highly correlate with NT50 and other estimates of vaccine efficacy. We found that on average, vaccination increases Age50, the age at which there is a 50% probability of severe disease if infected, in 15 years. We also found that Age50 increases with mean protection time.
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spelling doaj.art-2a82fa8e102a4fd58e0ac0c0358bb2122022-12-22T04:30:09ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-10-01910.3389/fmed.2022.972083972083Waning immunity to SARS-CoV-2 following vaccination or infectionCarlos Hernandez-Suarez0Efrèn Murillo-Zamora1Instituto de Ciencias Tecnología e Innovación, Universidad Francisco Gavidia, San Salvador, El SalvadorUnidad de Medicina Familiar No. 19, Departamento de Epidemiología, Instituto Mexicano del Seguro Social, Colima, MexicoWe use survival analysis to analyze the decay in the protection induced by eight SARS-CoV-2 vaccines using data from 33,418 fully anonymized patients from the IMSS public health system in Mexico, including only previously vaccinated, confirmed SARS-CoV-2 positive with a PCR test. We analyze the waning effect in those with complete vs. incomplete dose fitting a Weibull distribution. We compare these results with an estimate of the waning effect due to active infection. In two-dose vaccines, we found that the average protection time of a complete dose increases 2.6 times compared to that of an incomplete dose. All analyzed vaccines provided a protection that lasted longer than the protection due to active infection, except in those patients that did not fulfilled the complete dose. The average protection of a full dose is 2.2 times larger than that provided by active infection. The average protection of active infection is about the same as the average protection of an incomplete dose. All evaluated vaccines had lost most of their protective effect between 8 and 11 months of application of first shot. Our results highly correlate with NT50 and other estimates of vaccine efficacy. We found that on average, vaccination increases Age50, the age at which there is a 50% probability of severe disease if infected, in 15 years. We also found that Age50 increases with mean protection time.https://www.frontiersin.org/articles/10.3389/fmed.2022.972083/fullSARS-CoV-2immunityvaccineswaningsurvival analysisvaccine efficacy
spellingShingle Carlos Hernandez-Suarez
Efrèn Murillo-Zamora
Waning immunity to SARS-CoV-2 following vaccination or infection
Frontiers in Medicine
SARS-CoV-2
immunity
vaccines
waning
survival analysis
vaccine efficacy
title Waning immunity to SARS-CoV-2 following vaccination or infection
title_full Waning immunity to SARS-CoV-2 following vaccination or infection
title_fullStr Waning immunity to SARS-CoV-2 following vaccination or infection
title_full_unstemmed Waning immunity to SARS-CoV-2 following vaccination or infection
title_short Waning immunity to SARS-CoV-2 following vaccination or infection
title_sort waning immunity to sars cov 2 following vaccination or infection
topic SARS-CoV-2
immunity
vaccines
waning
survival analysis
vaccine efficacy
url https://www.frontiersin.org/articles/10.3389/fmed.2022.972083/full
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